Female

Teresa L. Bosley OT

Occupational Therapist in Grand Rapids, MI(View on Map)

Full Name

Teresa Lynn Bosley OT

NPI Number

1144564584

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/26/2012

Specialties

(Taxonomies)

Code

225X00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

5201006103

Contact
Information

Purpose

Mailing
Location

Address

2505 ARDMORE ST SE
2505 ARDMORE ST SE

City

Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49506-4924
49506-4924

Country

US
US

Telephone Number

(616) 559-1054
(616) 559-1054

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/26/2012

Provider Address

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